Results of non-surgical treatment of isolated closed tibial shaft fractures
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Non- Surgical, Tibial Shaft, Fracture
Abstract
This Research aimed to see how well isolated closed tibial fractures retained their reduction after being immobilized in a cast. Medical data were gathered for all patients of identified solitary closed tibial shaft fractures treated non-surgically. Males were more typically impacted than females among the 32 individuals evaluated. The mean age was 27.68 years old (SD=7.06). Direct trauma with motorcycle was the most prevalent causes of injury. The average follow-up time for each patient was 9.1 months (SD=2.36). According to the AO/OTA classification, 34.4 % of the fractures are A1.1, 28.1% are A2.1, and 37.5 % are A3. The average time for all fractures to heal was 13.7 weeks (SD=3.24). In the 22nd week, there was one occurrence of delayed union. Shortening of bone was less than 1 cm in 93.75 % of patients and more than 1.5 cm in 6.25% of patients. In 2 (6.25%) of the patients, the anterior or posterior angulation was more than 10 degrees. Furthermore, even with uncomplicated tibial fractures, there appears to be a debate about therapy selection when considering long-term physical handicap and a longer follow-up time.
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References
Ayoub, M. A., Gad, H. M., Seleem, O. A. 2016. Standalone percutaneous transiliac plating of vertically unstable sacral fractures: outcomes, complications, and recommendations. European Spine Journal, 25(4):1153–1162.
Bhat, R., Wani, M. M., Rashid, S., Akhter, N. 2015. Minimally invasive percutaneous plate osteosynthesis for closed distal tibial fractures: a consecutive study based on 25 patients. European Journal of Orthopaedic Surgery and Traumatology, 25(3):563–568.
Casstevens, C., Le, T., Archdeacon, M. T., Wyrick, J. D. 2012. Management of Extra-articular Fractures of the Distal Tibia: Intramedullary Nailing Versus Plate Fixation. Journal of the American Academy of Orthopaedic Surgeons, 20(11):675–683.
Ferguson, M., Brand, C., Lowe, A., Gabbe, B., Dowrick, A., Hart, M., Richardson, M. 2008. Outcomes of isolated tibial shaft fractures treated at level 1 trauma centres. Injury, 39(2):187–195.
Gaebler, C., Mcqueen, M. M., Vécsei, V., Court-Brown, C. M. 2011. Reamed versus minimally reamed nailing: A prospectively randomised study of 100 patients with closed fractures of the tibia. Injury, 42(11):70007–70016.
Giannoudis, P. V., Papakostidis, C., Roberts, C. 2006. A review of the management of open fractures of the tibia and femur. The Journal of Bone and Joint Surgery, (3):281–289.
Hogue, G. D., Wilkins, K. E., Kim, I. S. 2019. Management of Pediatric Tibial Shaft Fractures. Journal of the American Academy of Orthopaedic Surgeons, 27(20):769–778.
Hsu, C. E., Chiu, Y. C., Tsai, S. H., Lin, T. C., Lee, M. H., Huang, K. C. 2015. Trochanter stabilising plate improves treatment outcomes in AO/OTA 31-A2 intertrochanteric fractures with critical thin femoral lateral walls. Injury, 46(6):1047–1053.
Jones, D. 2010. Rockwood and Green’s fractures in adults. The Journal of Bone and Joint Surgery, 92(10). 7th edition, ISBN: 978-1609-1301-69.
Liu, Y. P., Hao, Q. H., Lin, F., Wang, M. M., Hao, Y. D. 2015. Tibial Tuberosity Avulsion Fracture and Open Proximal Tibial Fracture in an Adult. Medicine, 94(39).
Mahendra, M., Singh, R. 2018. Reamed Intramedullary Nailing Versus Anatomic Plating by MIPO in Distal Tibia Extra-Articular Metaphyseal Fracture. Journal of Clinical and Diagnostic Research, 12(6).
Müller, M. E., Bandi, W., Bloch, H. R., Allgöwer, M., Willenegger, H., Mumenthaler, A., Schneider, R., Steinemann, S., Straumann, F., Weber, B. G. 2012. Technique of internal fixation of fractures. 1:272. 1st Edition, ISBN: 978-3-642-88356-9.
Prat-Fabregat, S., Camacho-Carrasco, P. 2016. Treatment strategy for tibial plateau fractures: an update. EFORT Open Reviews, 1(5):225–232.
Quadlbauer, S., Pezzei, C., Jurkowitsch, J., Rosenauer, R., Kolmayr, B., Keuchel, T., Simon, D., Beer, T., Hausner, T., Leixnering, M. 2020. Rehabilitation after distal radius fractures: is there a need for immobilization and physiotherapy? Archives of Orthopaedic and Trauma Surgery, 140(5):651–663.
Sharr, P. J., Buckley, R. E. 2014. Current concepts review: open tibial fractures. Acta Chir Orthop Traumatol Cech, 81(2):95–107.
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